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Qualitative Health Research
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Spirituality in African Americans With Diabetes: Self-Management Through a Relationship With God

Rebecca L. Polzer

University of Texas Health Science Center at Houston

Margaret S. Miles

University of North Carolina–Chapel Hill

The purpose of this study was to develop a theoretical model about how the spirituality of African Americans affects their self-management of diabetes. The sample consisted of 29 African American men and women, ages 40 to 75, with type 2 diabetes. The authors used a grounded theory design and collected data using minimally structured interviews. The method of analysis was constant comparison. The core concept identified was Self-Management Through a Relationship With God. Participants fell into one of three typologies: (a) Relationship and Responsibility: God Is in Background; (b) Relationship and Responsibility: God Is in Forefront: (c) Relationship and Relinquishing of Self-Management: God Is Healer. These typologies varied according to how participants viewed their relationship with God and the impact of this relationship on their self-management. The spirituality of these African Americans was an important factor that influenced the self-management of their diabetes.

Key Words: spirituality • African Americans • diabetes

Qualitative Health Research, Vol. 17, No. 2, 176-188 (2007)
DOI: 10.1177/1049732306297750


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